Organization Active NPI

Dr. Michael Williams Podiatry

  • Podiatric Clinic/Center
  • Schaumburg, IL
National Provider Identifier
1982082145
Registry record updated May 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
016005302 Issued in IL
Legal business name
DR. MICHAEL WILLIAMS PODIATRY
Practice address
1037 E Woodfield Rd
Schaumburg, IL 60173-4706
Phone
(847) 519-7046
NPI assigned
May 8, 2015
Last updated
May 8, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael Williams, DPMNPI 1851499917
Title
Owner
Phone
(708) 638-9507

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X 016005302 IL Primary

Addresses

Primary practice location

1037 E Woodfield Rd
Schaumburg, IL 60173-4706

Mailing address

810 Foxworth Blvd Apt 111
Lombard, IL 60148-4858
Phone (708) 638-9507

Other identifiers 1

IdentifierTypeStateIssuer
016005302MedicaidIL

National Provider Directory

National Provider Directory
Tax ID family
Dr Michael Williams Podiatry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1431043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431043200000",
    "number": "1982082145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 FOXWORTH BLVD APT 111",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484858",
            "telephone_number": "708-638-9507",
            "fax_number": "708-695-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 E WOODFIELD RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734706",
            "telephone_number": "847-519-7046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MICHAEL WILLIAMS PODIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-08",
        "last_updated": "2015-05-08",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-638-9507",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "IL",
            "license": "016005302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016005302",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.